Peterson, Royce G

Peterson, Royce G is an individual health care provider with primary practice located at 700 Campbell St , Baker City OR 97814-2212. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Peterson, Royce G can be contacted via phone (541) 523-0607.

Contact Information

Primary practice address
700 Campbell St Baker City OR 97814-2212
Phone: (541) 523-0607
Fax: (541) 523-0589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 0012258 Oregon
Pharmacy Service Providers / Pharmacist 183500000X P6405 Idaho

Profile Details

NPI number 1598038317
LBN Legal business name Peterson, Royce G
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2012
Last updated Feb 10th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598038317 NPPES
Oregon Other 0012258 STATE PHARMACIST LICENSE
Oregon Other P6405 STATE PHARMACIST LICENSE

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